Sparta Area Ambulance Service LTD

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001011 Issued in WI

Legal business name

SPARTA AREA AMBULANCE SERVICE LTD

Practice address

618 Stelting St
Sparta, WI 54656-2325

Phone

(608) 269-4949

Fax

(608) 269-8568

NPI assigned

May 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Hess

Title

President

Phone

(608) 269-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1871544171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 STELTING ST",
            "address_2": "PO BOX 543",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562325",
            "telephone_number": "608-269-4949",
            "fax_number": "608-269-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 STELTING ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562325",
            "telephone_number": "608-269-4949",
            "fax_number": "608-269-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA AREA AMBULANCE SERVICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-269-4949"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41325900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhrett Morgan Schwartz, OTR/L, CLT
• Kelly Janell Seib, MD
• Tejal Jayant Shelat, MBBS, MPH
• Molly C Skinner, LPC-IT AND SAC-IT
• Jessica L. Sosso, MD
• Sparta Area School District
• Sparta Chiropractic Clinic, LLC
• Sparta Dental Center SC
• Sparta Family Dentistry, LLC
• Sparta Pharmacy LLC.

• Land Ambulance in Sparta, WI
• Providers in Sparta, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.